Provider Demographics
NPI:1356766919
Name:TWITTY, TONI PENERY (DAC)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:PENERY
Last Name:TWITTY
Suffix:
Gender:F
Credentials:DAC
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ERIN
Other - Last Name:PENERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAC
Mailing Address - Street 1:1300 E 9TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5760
Mailing Address - Country:US
Mailing Address - Phone:405-697-5121
Mailing Address - Fax:
Practice Address - Street 1:1300 E 9TH ST STE 6
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5760
Practice Address - Country:US
Practice Address - Phone:405-697-5121
Practice Address - Fax:405-785-3561
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist